The nurse believes that a client is eligible as a participant for The National Hospice Reimbursement Act of 1986. This act mandated that:
1. clients with terminal illnesses are reimbursed.
2. a physician must order hospice to be reimbursed.
3. to receive reimbursement that client must be eligible for Medicare.
4. to receive benefits, the physician must certify that the client has a limited life expectancy of 6 months or less.
4
The Medicare hospice benefit is a reimbursement benefit for those with a prognosis of 6 months or less to live (certified by a physician). The act does not mandate reimbursement to clients with terminal illnesses, physicians do not have to order hospice for reimbursement, nor does a client have to be eligible for Medicare for hospice eligibility.
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The adult dose of a drug is 10 mL. The dose for a child whose BSA is 0.58 m2 is _______________
a. 5.8 mL b. 3.4 mL c. 3.9 mL d. 9.9 mL
An older patient is receiving feedings through a permanent feeding tube. Which nursing intervention will decrease this patient's risk of aspiration?
1. Administer formulas that contain fiber. 2. Keep the head of the bed elevated at a 30 to 45 degree angle. 3. The risk of aspiration no longer exists after a permanent feeding tube has been placed. 4. Flush the tube with water before and after each medication administered through the tube.
A home health nurse has a caseload of several postoperative clients. Which one would be most likely to require a longer period of care?
A) An infant B) A young adult C) A middle adult D) An older adult
In the period immediately after a baby has had surgery for cleft lip repair, the nurse will do which of the following things?
a. Place the baby in a prone position lying flat. b. Remove the elbow restraints. c. Hold the pain medication. d. Apply a Logan bow or a butterfly adhesive.